| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9149 |
National committee for quality assurance - level 2 medical home |
8,424 |
8,378 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,844 |
10,071 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,158 |
5,724 |
$278K |
| 99442 |
|
4,498 |
4,290 |
$150K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,558 |
1,357 |
$66K |
| 98968 |
|
1,382 |
1,076 |
$59K |
| 99443 |
|
1,206 |
1,140 |
$56K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,300 |
2,016 |
$43K |
| 99441 |
|
1,772 |
1,673 |
$33K |
| G9150 |
National committee for quality assurance - level 3 medical home |
164 |
164 |
$21K |
| G9148 |
National committee for quality assurance - level 1 medical home |
66 |
66 |
$16K |
| 99215 |
Prolong outpt/office vis |
224 |
215 |
$15K |
| 90686 |
|
1,573 |
1,558 |
$15K |
| 90674 |
|
385 |
382 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
4,826 |
4,701 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,086 |
1,072 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
688 |
605 |
$10K |
| 0012A |
|
236 |
236 |
$9K |
| 0011A |
|
259 |
259 |
$8K |
| 97802 |
|
116 |
116 |
$5K |
| 97803 |
|
135 |
131 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$3K |
| 82274 |
|
245 |
243 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
28 |
$3K |
| 80305 |
|
248 |
190 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
249 |
$2K |
| 0064A |
|
43 |
43 |
$2K |
| 99173 |
|
948 |
934 |
$2K |
| 99384 |
|
16 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
55 |
$1K |
| 98967 |
|
27 |
25 |
$835.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$830.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
62 |
$742.00 |
| 36416 |
|
491 |
484 |
$690.79 |
| 92551 |
|
257 |
251 |
$678.65 |
| 0134A |
|
12 |
12 |
$440.00 |
| 90734 |
|
14 |
13 |
$328.28 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
19 |
16 |
$300.39 |
| 90651 |
|
12 |
12 |
$263.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
28 |
$246.65 |
| 92250 |
|
12 |
12 |
$239.88 |
| 85018 |
|
148 |
147 |
$147.13 |
| 90688 |
|
33 |
33 |
$139.52 |
| 82948 |
|
40 |
37 |
$136.82 |
| 90715 |
|
13 |
13 |
$109.84 |
| 99188 |
|
14 |
14 |
$53.00 |
| 90653 |
|
32 |
24 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 91301 |
|
511 |
509 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 91306 |
|
41 |
41 |
$0.00 |